Female

Mrs. Ada L. Gallant OTRL, LPTA

Occupational Therapist in West Bloomfield, MI(View on Map)

Full Name

Mrs. Ada Ladelle Gallant OTRL, LPTA

NPI Number

1013351121

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/18/2013

Specialties

(Taxonomies)

Code

225X00000X
225200000X

Primary Taxonomy

Yes
No

Licenses

State

Michigan
Michigan

License Number

5201009263
5502001938

Contact
Information

Purpose

Mailing
Location

Address

7057 GRANGER DR
6535 DRAKE RD

City

Howell
West Bloomfield

State

MI
MI

Postal Code

48855-7266
48322

Country

US
US

Telephone Number

N/A
(810) 240-3453

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/23/2018

Provider Address

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